Hello David! Been discussing the progression of endometriosis with a friend. I know that hormonal birth control is often prescribed as a way to manage symptoms. In her case, she has already undergone laparoscopy which has helped her a lot, but she is still taking hormonal birth control to manage symptoms, and feeling less and less satisfied with the side effect trade-off of birth control. The main symptoms she experiences are dysmenorrhea, and pain during intercourse. She has a high stress life working in a hospital. What approaches would be your first considerations? I'm imagining herbs that would address hormones, inflammation and stress and top priority. Have you used DIM (diindolylmethane) or pycnogenol with clients who have endometriosis? (diindolylmethane) thank you!

I have-not used pycnogenol, but have used DIM as part of an endometriosis protocol. Please remember we do not treat endometriosis, we treat a person who has endometriosis as well as many other issues. So we want to clear hormones via the liver and bowel (alteratives, cholagogues-m Oregon Grape root, ), normalize hormones (Chaste tree, Licorice), reduce inflammation, enhance circulation (Si Wu Tang), if stress is an issue then address it as well and relieve pain (Jamaica Dogwood, Cyperus, Corydalis).